BRENT WALLACE

COLUMBUS, OH
NPI1912321571
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OH  03122556)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
Mr. BRENT WALLACE R.Ph.
1661 HILLIARD ROME RD
COLUMBUS, OH 43228-9485
Phone number: 614-771-9200
Mailing Address
Mr. BRENT WALLACE R.Ph.
1661 HILLIARD ROME RD
COLUMBUS, OH 43228-9485
Phone number: 614-771-9200
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